Payment Plan Application

Instructions and Information

  1. You must have income (other than child support or state aid for families) to qualify for a payment plan.

    • If you are self-employed you will be required to provide the previous year’s tax returns with schedules.
    • If you are disabled, you must provide your award letter or other evidence of disability income
  2. Complete the following pages and either return to the office or email to Paymentplan@pottcounty-ia.gov:

    • Financial Affidavit
    • Questionnaire regarding driver’s license and your right to register an automobile
    • Voluntary Wage Assignment
  3. If your driver’s license is suspended, we will check with the Driver’s License Bureau to see what is holding your license and if you owe any civil penalties that we can wrap into the payment plan.

  4. The County Attorney’ Office will prepare the Payment Plan and will send a letter by mail or email that your plan is ready to be signed. You will need to bring the following to the Pottawattamie County Attorney’s Office:

    • First Month’s Payment - MUST BE BY CHECK OR MONEY ORDER
    • Proof of automobile insurance if applying for license reinstatement

    If you want a driver’s license, you are required to have and keep car insurance while on the payment plan. If you do not own a car, you must have non-owner’s insurance.

    * In the Event you would like the payment plan(s) emailed to you contact our office.
  5. If you’re making direct payments, pay in cash at the Clerk of Court, or mail a check or money order to:

    County Attorney’s Office
    P. O. Box 0127
    Council Bluffs, IA 51502-0127

    MAKE YOUR CHECK OR MONEY ORDER PAYABLE TO: CLERK OF COURT
    (Print your name on the check or money order.)

  6. If you have a job, you must sign the Voluntary Wage Assignment. You are responsible for paying the fines! If deductions are not coming out of your paycheck within two pay periods after you set up your wage assignment, or if your deduction stops for any reason, you must contact your payroll office to see why. You must also notify the County Attorney’s office by calling Rhonda at 712-328-5649 or emailing rhonda.blair@pottcounty-ia.gov

  7. About fourteen days after you sign the plan(s), you should be able to go to the Department of Transportation to get your license.

    The County Attorney’s office does NOT accept cash. You are REQUIRED to tell the Clerk that you are making a payment on a “County Attorney Payment Plan” to make certain the payment will be credited toward your plan.

    If you have any questions, call the County Attorney’s Office at 712-328-5649. Please note the more calls we have to deal with the longer it takes to get the plans out.

Payment Plan Assistance & License Reinstatement Financial Affidavit

Personal Information
Employment Information
$
Income and Liabilities
$
$

I SWEAR UNDER PENALTY OF PERJURY THAT THE INFORMATION ON THIS FINANCIAL AFFIDAVIT IS TRUE AND CORRECT.

Questionnaire
NOTE: This will require you to have automobile insurance. If you don’t have a vehicle, you must have a non-owner’s policy (contact a local insurance agent for details).

Payment Plan Options

$

YOUR FIRST PAYMENT ON A PLAN MUST BE BY CHECK OR MONEY ORDER